<?php

/*
* This script is part of "Myitkyina, BBCode-Ready Free/Libre Project Web Hosting Application Form For Popular PHP Forums" 
* Download and more info: http://www.mybehs.org/wiki/MyBEHS:Scripts
* Code maintainer : Victor San Kho Lin<victorlin21@gmail.com>
* Code contributers : {ok list yours here}


    Myitkyina, BBCode-Ready Free/Libre Project Web Hosting Application Form For Popular PHP Forums
    Copyright (C) 2007  Victor San Kho Lin

    This program is free software: you can redistribute it and/or modify
    it under the terms of the GNU General Public License as published by
    the Free Software Foundation, either version 3 of the License, or
    (at your option) any later version.

    This program is distributed in the hope that it will be useful,
    but WITHOUT ANY WARRANTY; without even the implied warranty of
    MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the
    GNU General Public License for more details.

    You should have received a copy of the GNU General Public License
    along with this program.  If not, see <http://www.gnu.org/licenses/>.
*/


include 'include/config.php';
include 'header.php';
?>


<form action="process.php" method="post" name="msgform">

<div style="font-size: 16pt; color: #FF0000; font-weight: bold;"><u>ATTENTION:</u></div><br />
<div style="font-size: 10pt; color: #004488; font-weight: bold; padding-left: 15pt;">This form was designed to ensure that all the necessary informations  are formatted correctly for your Free Web Hosting Application.<br />The application has <span style="color: #FF0000; font-weight: bold;">THREE STAGE</span>!<br />
This form will generate the proper code to be cut and paste into the <a href="<?php echo $forum_url; ?>">Free Web Hosting Request Forum</a>.<br />
Application without using of this form will be resulted in no respond.<br />
You have to read and understand <a href="<?php echo $term_url ; ?>">terms</a> and <a href="<?php echo $forum_term_url; ?>">forum rules</a> before generating and submitting application form.<br />
 All <span style="color: #FF0000; font-weight: bold;">*</span> indicated required information!
</div>

<br />

<span style="color: #FF0000; font-weight: bold;">*</span><b>Desired Subdomain Name: </b> mysubdomain.<?php echo $sudomain; ?><br />
<div style="padding-left: 20pt;"><input type="text" size="30" value="" name="domain" maxlength="255"></div><br />
<br />

<span style="color: #FF0000; font-weight: bold;">*</span><b>Introduce Yourself:</b> Your hobbies, interests, talents, etc.  Let the community know you better.<br />
<div style="padding-left: 20pt;"><textarea rows="10" cols="60" name="intro" style="font-family: verdana; font-size: 10pt;"></textarea></div><br />
<br />

<span style="color: #FF0000; font-weight: bold;">*</span><b>Desired Hosting Account Username: </b>8 characters maximum.<br />
<div style="padding-left: 20pt;"><input type="text" size="10" value="" name="desired_username" maxlength="8"></div><br />
<br />

<span style="color: #FF0000; font-weight: bold;">*</span><b>Age: </b><br />
<div style="padding-left: 20pt;"><input type="text" size="10" value="" name="age" maxlength="2"></div><br />
<br />

<span style="color: #FF0000; font-weight: bold;">*</span><b>Email Address: </b><br />
<div style="padding-left: 20pt;"><input type="text" size="30" value="" name="email" maxlength="255"></div><br />
<br />

<span style="color: #FF0000; font-weight: bold;">*</span><b>Country Where You Live (current): </b><br />
<div style="padding-left: 20pt;"><input type="text" size="30" value="" name="country" maxlength="255"></div><br />
<br />

<span style="color: #FF0000; font-weight: bold;">*</span><b>City Where You Born: </b><br />
<div style="padding-left: 20pt;"><input type="text" size="30" value="" name="city" maxlength="255"></div><br />
<br />

<span style="color: #FF0000; font-weight: bold;">*</span><b>Your School Name: </b><br />
<div style="padding-left: 20pt;"><input type="text" size="30" value="" name="behs" maxlength="255"></div><br />
<br />

<span style="color: #FF0000; font-weight: bold;">*</span><b>What is Your Website About: </b><br />
<div style="padding-left: 20pt;"><input type="text" size="30" value="" name="theme" maxlength="255"></div><br />
<br />

<span style="color: #FF0000; font-weight: bold;">*</span><b>What is Your Project About: </b><br />
<div style="padding-left: 20pt;"><input type="text" size="30" value="" name="reason" maxlength="255"></div><br />
<br />

<span style="color: #FF0000; font-weight: bold;">*</span><b>How Did You Find Us: </b><br />
<div style="padding-left: 20pt;"><input type="text" size="30" value="" name="referred" maxlength="255"></div><br />
<br />

<span style="color: #E2E2E2; font-weight: bold;">*</span><b>Who Was Your Previous Host: </b><br />
<div style="padding-left: 20pt;"><input type="text" size="30" value="" name="prev_host_name" maxlength="255"></div><br />
<br />

<span style="color: #E2E2E2; font-weight: bold;">*</span><b>Reason For Leaving Your Previous Host: </b><br />
<div style="padding-left: 20pt;"><input type="text" size="30" value="" name="prev_host_reason" maxlength="255"></div>
<br />

<span style="color: #E2E2E2; font-weight: bold;">*</span><b>Additional Comments:</b><br />
<div style="padding-left: 20pt;"><textarea rows="10" cols="60" name="additional" style="font-family: verdana; font-size: 10pt;"></textarea></div><br />
<br />

<span style="color: #FF0000; font-weight: bold;">*</span><b>Do you agree to the terms and conditions outlined in the Terms Of Service, Acceptable Use Policy, and Forum Rules?</b><br />
<div style="padding-left: 20pt;"><select name="confirmation">     <option  value=""></option>     <option  value="YES, I Agree!">YES, I Agree!</option>     <option  value="NO, I Do Not Agree!">NO, I Do Not Agree!</option></select></div><br />
<br />

<span style="color: #FF0000; font-weight: bold;">*</span><b>Your Signature: </b>Your  Community Forum Username.<br />
<div style="padding-left: 20pt;"><input type="text" size="30" value="" name="forum_username" maxlength="255"></div><br />
<br />

<!--span style="color: #FF0000; font-weight: bold;">*</span--><b>Secret Quote: </b>Please enter if you received any secret quote. If not, just leave it and please don't touch!<br />
<div style="padding-left: 20pt;"><input type="text" size="30" value="" name="squote" maxlength="255"></div><br />
<br />


<div style="padding-left: 20pt;"><input type="submit" name="generate_pre" value="Generate Application" onClick="return checkForm();"></div><br />

</form>

<?php include 'footer.php'; ?>